Case and Research Letters
Penile Paraffinoma
Parafinoma de pene
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Gómez-Armayones, R.M. Penín, J. Marcoval" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Gómez-Armayones" ] 1 => array:2 [ "nombre" => "R.M." "apellidos" => "Penín" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Marcoval" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219014002868" "doi" => "10.1016/j.adengl.2014.04.027" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014002868?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731014002208?idApp=UINPBA000044" "url" => "/00017310/0000010500000010/v1_201411260044/S0001731014002208/v1_201411260044/es/main.assets" ] ] "itemAnterior" => array:18 [ "pii" => "S1578219014002856" "issn" => "15782190" "doi" => "10.1016/j.adengl.2014.04.026" "estado" => "S300" "fechaPublicacion" => "2014-12-01" "aid" => "1012" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2014;105:955-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1366 "formatos" => array:3 [ "EPUB" => 39 "HTML" => 920 "PDF" => 407 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Scarring Alopecia in Classic Adult Type I Pityriasis Rubra Pilaris" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "955" "paginaFinal" => "957" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Alopecia cicatricial en pitiriasis rubra pilaris tipo I clásica del adulto" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1168 "Ancho" => 1600 "Tamanyo" => 616465 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A and B, Skin biopsy of a pityriasis rubra pilaris lesion showing hyperkeratosis alternating with parakeratosis. A, Hematoxylin-eosin, original magnification ×4. B, Hematoxylin-eosin, original magnification ×10. C and D, Scalp biopsy with stellate perifollicular dermal fibrosis. No perifollicular inflammatory infiltrate is seen. C, Hematoxylin-eosin, original magnification ×10. D, Hematoxylin-eosin, original magnification ×20.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Martín Callizo, J. Molinero Caturla, J. Sánchez Sánchez, R.M. Penín Mosquera" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Martín Callizo" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Molinero Caturla" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Sánchez Sánchez" ] 3 => array:2 [ "nombre" => "R.M." "apellidos" => "Penín Mosquera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731014002191" "doi" => "10.1016/j.ad.2014.04.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731014002191?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014002856?idApp=UINPBA000044" "url" => "/15782190/0000010500000010/v1_201411260035/S1578219014002856/v1_201411260035/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Penile Paraffinoma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "957" "paginaFinal" => "959" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Gómez-Armayones, R.M. Penín, J. Marcoval" "autores" => array:3 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Gómez-Armayones" "email" => array:1 [ 0 => "sara.gomez.armayones@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "R.M." "apellidos" => "Penín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Marcoval" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitari de Bellvitge, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitari de Bellvitge, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Parafinoma de pene" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 675 "Ancho" => 900 "Tamanyo" => 307182 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Photomicrograph showing fibrosis in the papillary and reticular dermis, in addition to multiple empty vacuoles that had contained the paraffin. Hematoxylin and eosin, original magnification<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>4.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Penile paraffinoma is a skin reaction that develops after the injection of paraffin or mineral oil into the penis in order to increase its size. The condition is relatively common in some eastern European and Asian countries and we believe immigration will cause its frequency in Spain to rise. The procedure is usually performed by nonmedically qualified persons and under poor hygienic conditions. The skin reaction to the exogenous material typically develops months or years after the injection.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleVsp" style="height:0.5px"></span></p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of a 27-year-old man from Romania who consulted for ulcerated lesions on the penis. Although the patient initially omitted the fact, he later stated that for the previous 4 years until 2 months prior to consultation he had undergone repeated injections of a viscous material into the shaft of the penis in order to increase its size. He also stated that progressively enlarging ulcerated lesions had appeared on the penis and that they had worsened in appearance over the previous months. He had therefore applied the contents of oral antibiotic capsules to the area, but with no improvement. On physical examination there was a marked deformity of the shaft of the penis, which was indurated on palpation, and there were 2 ulcerated lesions with maximum diameters of 3 and 2<span class="elsevierStyleHsp" style=""></span>cm, respectively, located on the lateral surfaces of the penis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Fistulous tracts were present on the ventral surface, with no visible secretion. The glans was not affected. Histopathology of the larger lesion showed an epithelial ulcer with dermal fibrosis and empty vacuoles, consistent with paraffinoma (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2 and 3</a>). Staining with periodic acid-Schiff, silver methenamine, and Ziehl-Neelsen was negative. Blood tests were normal and a swab from the ulcers isolated a large number of different colonies, with no predominant microorganism. Culture for fungi was negative. Serology was negative for hepatitis C and human immunodeficiency virus and positive for hepatitis B, herpes simplex virus type 1, herpes simplex virus type 2, and syphilis (VDRL titer 1:2; TPHA, 1:10 240). The patient was diagnosed with penile paraffinoma, and topical therapy was applied with potassium permanganate poultices. The lesions showed some improvement, and the necrotic areas healed. However, after offering the patient surgical reconstruction, he stopped coming to the visits, and we were therefore unable to repeat the serology and we considered the syphilis cured.<span class="elsevierStyleVsp" style="height:0.5px"></span></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Penile paraffinoma is also known as sclerosing lipogranuloma of the penis. The most common etiology of this condition is the injection of highly viscous materials, such as mineral oils, petrolatum, or paraffin, and this is still being performed in eastern Europe, Asia, and Russia.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> The practice was first performed, however, in 1899 by an Austrian surgeon called Robert Gersuny, who injected mineral oils into a child after orchiectomy for genital tuberculosis.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The motivation for patients to undergo this intervention include a desire to increase the size of the penis, to treat erectile dysfunction, and to satisfy their sexual partners.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleVsp" style="height:0.5px"></span></p><p id="par0020" class="elsevierStylePara elsevierViewall">The mean age of affected patients is around 28 years, and symptoms typically develop a year after implantation of the material. Clinical manifestations usually consist of deformity, impotence, erythema, and edema leading to paraphimosis and pain. The main complications are infection, ulceration, necrosis, and the formation of fistulas.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> There have also been reports of migration of the material, with invasion of the corpora cavernosa<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and regional lymphadenitis.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a><span class="elsevierStyleVsp" style="height:0.5px"></span></p><p id="par0025" class="elsevierStylePara elsevierViewall">As stated above, histology shows multiple pseudocystic spaces associated with signs of a foreign body reaction. This response is almost always present, as the human body has no enzymes that metabolize mineral oils.<span class="elsevierStyleVsp" style="height:0.5px"></span></p><p id="par0030" class="elsevierStylePara elsevierViewall">The differential diagnosis should include infectious diseases, both sexually transmitted and others, and it is usually therefore necessary to biopsy the lesion and take samples for culture and serology. Diseases such as lupus vulgaris and atypical mycobacterial infection secondary to the injection of sterile material must be excluded. Squamous cell carcinoma must be considered in the case of ulcerated lesions with hard serpiginous borders. A history of injection of paraffin into the penis is the key to clinical diagnosis.<span class="elsevierStyleVsp" style="height:0.5px"></span></p><p id="par0035" class="elsevierStylePara elsevierViewall">First-line treatment consists of early complete surgical excision of the foreign body and of the associated reaction, with closure by first intention when possible.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Antiseptics and antibiotics will only treat secondary infections of the lesions. Cases with a good response to systemic corticosteroid therapy have been reported.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleVsp" style="height:0.5px"></span></p><p id="par0040" class="elsevierStylePara elsevierViewall">Penile paraffinoma is a condition with an increasing incidence in Spain due to the rise in the number of patients from eastern European and Asian countries. As patients usually deny having had these injections, dermatologists and urologists must suspect this diagnosis when examining genital ulcers that do not correlate with other diseases.<span class="elsevierStyleVsp" style="height:0.5px"></span></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Gómez-Armayones S, Penín R, Marcoval J. Parafinoma de pene. Actas Dermosifiliogr. 2014;105:957–959</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 599 "Ancho" => 900 "Tamanyo" => 125696 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcerated lesion of about 3<span class="elsevierStyleHsp" style=""></span>cm diameter on the right lateral surface of the penile shaft.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 675 "Ancho" => 900 "Tamanyo" => 307182 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Photomicrograph showing fibrosis in the papillary and reticular dermis, in addition to multiple empty vacuoles that had contained the paraffin. Hematoxylin and eosin, original magnification<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>4.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 675 "Ancho" => 900 "Tamanyo" => 289442 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Photomicrograph showing the empty vacuoles at greater magnification. The histiocytes are also seen in greater detail and some multinucleated giant cells are present due to the foreign body reaction. Hematoxylin and eosin, original magnification<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>20.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N. Bayraktar" 1 => "I. 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Henderson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1973" "volumen" => "1" "paginaInicial" => "775" "paginaFinal" => "776" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2895308" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Petroleum jelly-induced penile paraffinoma with inguinal lymphadenitis mimicking incarcerated inguinal hernia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "I. Sejben" 1 => "A. Racz" 2 => "M. Svebis" 3 => "M. Patyi" 4 => "G. Cserni" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5489/cuaj.11146" "Revista" => array:6 [ "tituloSerie" => "Can Urol Assoc J" "fecha" => "2012" "volumen" => "6" "paginaInicial" => "E137" "paginaFinal" => "E139" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23093564" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "New reconstructive surgery for penile paraffinoma to prevent necrosis of ventral penile skin" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Y.S. Shin" 1 => "C. Zhao" 2 => "J.K. Park" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2012.10.017" "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2013" "volumen" => "81" "paginaInicial" => "437" "paginaFinal" => "444" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23374825" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010500000010/v1_201411260035/S1578219014002868/v1_201411260035/en/main.assets" "Apartado" => array:4 [ "identificador" => "6157" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case and Research Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010500000010/v1_201411260035/S1578219014002868/v1_201411260035/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014002868?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 24 | 8 | 32 |
| 2024 Octubre | 167 | 60 | 227 |
| 2024 Septiembre | 180 | 40 | 220 |
| 2024 Agosto | 213 | 87 | 300 |
| 2024 Julio | 190 | 45 | 235 |
| 2024 Junio | 153 | 38 | 191 |
| 2024 Mayo | 137 | 39 | 176 |
| 2024 Abril | 135 | 20 | 155 |
| 2024 Marzo | 133 | 29 | 162 |
| 2024 Febrero | 138 | 50 | 188 |
| 2024 Enero | 136 | 60 | 196 |
| 2023 Diciembre | 145 | 27 | 172 |
| 2023 Noviembre | 195 | 37 | 232 |
| 2023 Octubre | 135 | 27 | 162 |
| 2023 Septiembre | 134 | 35 | 169 |
| 2023 Agosto | 76 | 22 | 98 |
| 2023 Julio | 80 | 26 | 106 |
| 2023 Junio | 82 | 29 | 111 |
| 2023 Mayo | 117 | 28 | 145 |
| 2023 Abril | 125 | 24 | 149 |
| 2023 Marzo | 138 | 17 | 155 |
| 2023 Febrero | 75 | 19 | 94 |
| 2023 Enero | 67 | 47 | 114 |
| 2022 Diciembre | 75 | 41 | 116 |
| 2022 Noviembre | 43 | 25 | 68 |
| 2022 Octubre | 65 | 14 | 79 |
| 2022 Septiembre | 76 | 34 | 110 |
| 2022 Agosto | 46 | 40 | 86 |
| 2022 Julio | 54 | 34 | 88 |
| 2022 Junio | 51 | 24 | 75 |
| 2022 Mayo | 103 | 45 | 148 |
| 2022 Abril | 107 | 22 | 129 |
| 2022 Marzo | 89 | 38 | 127 |
| 2022 Febrero | 109 | 27 | 136 |
| 2022 Enero | 139 | 31 | 170 |
| 2021 Diciembre | 80 | 38 | 118 |
| 2021 Noviembre | 75 | 46 | 121 |
| 2021 Octubre | 72 | 51 | 123 |
| 2021 Septiembre | 94 | 41 | 135 |
| 2021 Agosto | 64 | 22 | 86 |
| 2021 Julio | 92 | 40 | 132 |
| 2021 Junio | 57 | 32 | 89 |
| 2021 Mayo | 63 | 40 | 103 |
| 2021 Abril | 135 | 74 | 209 |
| 2021 Marzo | 88 | 31 | 119 |
| 2021 Febrero | 145 | 56 | 201 |
| 2021 Enero | 87 | 21 | 108 |
| 2020 Diciembre | 66 | 21 | 87 |
| 2020 Noviembre | 63 | 26 | 89 |
| 2020 Octubre | 80 | 22 | 102 |
| 2020 Septiembre | 155 | 18 | 173 |
| 2020 Agosto | 72 | 23 | 95 |
| 2020 Julio | 56 | 22 | 78 |
| 2020 Junio | 58 | 36 | 94 |
| 2020 Mayo | 52 | 27 | 79 |
| 2020 Abril | 46 | 24 | 70 |
| 2020 Marzo | 24 | 32 | 56 |
| 2020 Febrero | 3 | 9 | 12 |
| 2020 Enero | 0 | 5 | 5 |
| 2019 Diciembre | 4 | 15 | 19 |
| 2019 Noviembre | 0 | 6 | 6 |
| 2019 Octubre | 0 | 17 | 17 |
| 2019 Septiembre | 0 | 29 | 29 |
| 2019 Agosto | 0 | 26 | 26 |
| 2019 Julio | 4 | 30 | 34 |
| 2019 Junio | 0 | 44 | 44 |
| 2019 Mayo | 3 | 67 | 70 |
| 2019 Abril | 2 | 69 | 71 |
| 2019 Marzo | 0 | 19 | 19 |
| 2019 Febrero | 4 | 17 | 21 |
| 2019 Enero | 0 | 22 | 22 |
| 2018 Diciembre | 2 | 12 | 14 |
| 2018 Noviembre | 2 | 9 | 11 |
| 2018 Octubre | 3 | 0 | 3 |
| 2018 Septiembre | 2 | 8 | 10 |
| 2018 Agosto | 0 | 19 | 19 |
| 2018 Julio | 0 | 24 | 24 |
| 2018 Junio | 0 | 19 | 19 |
| 2018 Mayo | 1 | 7 | 8 |
| 2018 Abril | 0 | 1 | 1 |
| 2018 Marzo | 5 | 13 | 18 |
| 2018 Febrero | 97 | 18 | 115 |
| 2018 Enero | 94 | 20 | 114 |
| 2017 Diciembre | 95 | 22 | 117 |
| 2017 Noviembre | 55 | 17 | 72 |
| 2017 Octubre | 62 | 19 | 81 |
| 2017 Septiembre | 44 | 17 | 61 |
| 2017 Agosto | 40 | 12 | 52 |
| 2017 Julio | 44 | 18 | 62 |
| 2017 Junio | 32 | 31 | 63 |
| 2017 Mayo | 26 | 28 | 54 |
| 2017 Abril | 14 | 8 | 22 |
| 2017 Marzo | 12 | 29 | 41 |
| 2017 Febrero | 17 | 19 | 36 |
| 2017 Enero | 18 | 21 | 39 |
| 2016 Diciembre | 22 | 24 | 46 |
| 2016 Noviembre | 31 | 25 | 56 |
| 2016 Octubre | 28 | 26 | 54 |
| 2016 Septiembre | 0 | 13 | 13 |
| 2016 Agosto | 0 | 13 | 13 |
| 2016 Julio | 10 | 1 | 11 |
| 2016 Junio | 21 | 14 | 35 |
| 2016 Mayo | 15 | 1 | 16 |
| 2016 Abril | 11 | 28 | 39 |
| 2016 Marzo | 12 | 1 | 13 |
| 2016 Febrero | 8 | 4 | 12 |
| 2016 Enero | 12 | 2 | 14 |
| 2015 Diciembre | 11 | 2 | 13 |
| 2015 Noviembre | 11 | 1 | 12 |
| 2015 Octubre | 18 | 1 | 19 |
| 2015 Septiembre | 13 | 9 | 22 |
| 2015 Agosto | 17 | 1 | 18 |
| 2015 Julio | 29 | 8 | 37 |
| 2015 Junio | 16 | 5 | 21 |
| 2015 Mayo | 9 | 5 | 14 |
| 2015 Abril | 7 | 2 | 9 |
| 2015 Marzo | 17 | 6 | 23 |
| 2015 Febrero | 5 | 2 | 7 |
| 2015 Enero | 1 | 3 | 4 |
| 2014 Diciembre | 4 | 4 | 8 |
| 2014 Noviembre | 1 | 0 | 1 |
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